Friday, March 13, 2020


REPORTER'S NOTEBOOK
2020 Time Capsule

Carlos Barria / Reuters
Jonathan Ernst / Reuters

This afternoon, on the heels of a widely panned formal Oval Office address, Donald Trump assembled a group of scientific and corporate leaders to talk about dealing with the coronavirus. You can watch the whole thing on the White House YouTube channel.

I suspect that we’ll see one line from this conference played frequently in the months ahead. You can watch it starting at around 1:22:00, when reporter Kristen Welker of NBC asks Trump whether he takes responsibility for the lag in making test kits available.

Trump’s reply:
No.
I don’t take responsibility at all.

Narrowly parsed, and in full context, Trump was referring only to the test kits — and was continuing his (fantasized) complaint that rules left over from 2016, under the Obama administration, are the real reason the U.S. has been so slow to respond to this pandemic.

But filmable moments in politics are not always taken in full context, and at their most narrowly parsed logical reading:
They cling to guns and religion
I voted for it, before I voted against it
Basket of deplorables
Brownie, you’re doing a heck of a job
Stuff happens” (Donald Rumsfeld on the chaos of post-invasion Iraq)
It depends on what the meaning of the word ‘is’, is.”
Peace for our time.”

All of these—in full context, and most-sympathetically read—had a meaning you could understand and perhaps defend. None of that context or meaning survived, as those went from being phrases to weaponized symbols.

Will that happen to “I don’t take responsibility at all”? We will soon see.

Other stage business points:
A series of CEOs came to the microphone to describe what their companies were doing to speed testing or help out in other ways. Trump caught the first three or four of them unawares, by shaking their hands as they moved away from the podium. All seemed startled, as you can see in the video.

Then the other CEOs began to catch on, and a following group of them scuttled away from the podium before Trump could grab them for a handshake, or held their own hands clenched together, in a protective prayer-style grasp.

Finally, (at 1:06 in the video) you can see Bruce Greenstein, of the LHC group, surprise Trump with an elbow-bump rather than a hand shake. Trump himself seemed completely oblivious to the idea of social distancing. It was also notable that one speaker after another touched and moved around the same microphone, and put his her hands on the sides of the same podium.
I mentioned earlier today the uneasy and evolving position of Anthony Fauci, who has been the “voice of science” through this episode as he has during previous medical emergencies. The uneasiness lies in the tension between his decades as a respected scientist, and his current role as a prominent member of Team Trump. Can he retain his long reputation as a straight shooter? While maintaining any influence with Trump.

Make what you will of his body language through the events today. (He is at far left in the picture below.)
White House
Also today, I mentioned the inevitable-for-Trump, though inconceivable-in-other-administrations, ritual of Trump subordinates limitlessly praising the goodness and wisdom of their leader. It was striking to see all the CEOs skipping right past that formality.

But if you felt a phantom-limb twinge in the absence of these comments, all you had to do was wait for Mike Pence. You can hear him starting at around 1:07, with comments that began “This day should be an inspiration to every American” and built in earnestness from there.

There was much more from the question-and-answer session, but I don’t want to spoil the experience of discovery for anyone who has not seen it yet.

Two hundred and thirty-five days until the election.
Leah Millis / Reuters

As of today, March 13, 2020—three-plus years into the current administration, three months into public awareness of the coronavirus spread, seven-plus months until before the next election—Anthony Fauci is playing a role in which no previous Trump-era figure has survived.

One other person has been in the spot Fauci now occupies. That is, of course, James Mattis, the retired four-star Marine Corps general and former secretary of defense for Trump. Former is the key word here, and the question is whether the change in circumstances between Mattis’s time and Fauci’s—the public nature of this emergency, the greater proximity of upcoming elections, the apparent verdict from financial markets and both international and domestic leaders that Donald Trump is in deep over his head—will give Fauci the greater leverage he needs, not just to stay at work but also to steer policy away from the abyss.

Why is Anthony Fauci now, even more than James Mattis before him, in a different position from any other publicly visible associate of Trump’s?
Pre-Trump credibility, connections, and respect. Fauci has been head of the National Institute of Allergy and Infectious Diseases, at the National Institutes of Health, since Ronald Reagan’s first term, in 1984. (How can he have held the post so long? Although nothing in his look or bearing would suggest it, Fauci is older than either Bernie Sanders or Joe Biden. He recently turned 79.)

Through his long tenure at NIH, which spanned the early days of the HIV/AIDS devastation and later experience with the SARS and H1N1 epidemics, Fauci has become a very familiar “public face of science,” explaining at congressional hearings and in TV and radio interviews how Americans should think about the latest threat. He has managed to stay apart from any era’s partisan-political death struggles. He has received a raft of scientific and civic honors, from the Lasker Award for health leadership, to the Presidential Medal of Freedom, awarded by George W. Bush.

Thus, in contrast to virtually all the other figures with whom Trump has surrounded himself, Fauci is by any objective standard the best person for the job — and is universally seen as such. This distinguishes him from people Trump has favored in his own coterie, from longtime consigliere Michael Cohen to longtime ally Roger Stone to longtime personal physician Harold Bornstein; and from past and present members of his White House staff, like the departed Michael Flynn and the returned Hope Hicks and the sempiternal Jared Kushner; and fish-out-of-water Cabinet appointees, like (to pick one) the neurosurgeon Ben Carson as Secretary of Housing and Urban Development.

Put another way: Very plainly, Trump needs Fauci more than Fauci needs Trump. This is not a position Donald Trump has ever felt comfortable in— witness the denouement with Mattis.

The ability not to abase himself before Trump. The first Cabinet meeting Donald Trump held, nearly three years ago, was unlike any other conducted in U.S. history, and very much like subsequent public appearance of Trump in company with his appointees.

In that meeting, on June 12, 2017, as TV cameras were rolling, Trump went around the table and one-by-one had his appointees gush about how kind, wise, and far-sighted he was—failing only to compliment him on his humility. (Tina Nguyen described the meeting at the time in Vanity Fair.) After praising himself, Trump called on others to praise him, starting with the reliable Mike Pence. “It is the greatest privilege of my life to serve as the vice president to a president who is keeping his word to the American people,” Pence began. All the others followed his example—with the prominent exception of Mattis. He spent his “praise” time instead complimenting the men and women in uniform he led.

No public event like that Cabinet meeting had happened before in the United States, simply because no other president has been as needy for in-public adulation as Trump is. Of course most politicians and all presidents are needy; you could not run for the presidency if you had a normal temperament. (Background reading on this point, while you’re “socially isolating”: Robert Penn Warren’s All the King’s Men.) Every political leader eats up the praise in private—“Wonderful job today, Mr. President—you were really connecting!”, not to mention Veep—but all the rest of them have been savvy enough to know how tacky this looks in public. The modern exception-illustrating-the-rule might have been Lyndon Johnson, with enough of the Sun King in his makeup to enjoy having people humble themselves before him. But holding a public adulation-fest? If George W. Bush had heard, say, Karl Rove start in that way, he would likely have said, “OK, Turd Blossom, what are you angling for?” Barack Obama—or John F. Kennedy, or Jimmy Carter— would have arched an eyebrow as if to ask, “Hey, did you think you were still playing in the minors?”

But what we saw in that Cabinet meeting, we have seen again and again from those around Trump. The most humiliating recent examples come from the people in charge of the coronavirus response: Pence again; Alex Azar, head of Health and Human Services; Robert Redfield, head of the Centers for Disease Control; and Seema Verma, in charge of Medicare and Medicaid. The beginnings and endings of their public statements, and the answers to many questions, are larded with praise for Trump and his “decisive and visionary action.” (For the latest example, see Verma under questioning from Martha MacCallum of Fox News. Verma repeatedly dodges MacCallum’s direct question about whether hospitals have enough ventilators and other supplies (as Fred Barbash laid out in the Washington Post. MacCallum makes one last try—and Verma seeks refuge in saying, “And that’s why the president has taken such a bold and decisive action.” That claim made no logical sense to MacCallum or the listeners, but it reflected the inescapable logic of what is expected from members of the Court of Trump.)

There is one exception: Anthony Fauci. He has occasionally said that he agrees with aspects of the administration’s or the president’s policies, but he has avoided the ritual self-abnegation. Of course Fauci held his job long before Trump came to town, and is not part of the normal round of high-level appointments each new administration makes. (To the best of my knowledge, though, directors of NIH institutes, like Fauci, serve “at the pleasure of the president” and so could be removed. If I’m wrong on that, will update.)

But Fauci’s polite but consistent reluctance to grovel cannot have gone unnoticed by the audience-of-one for all the other appointees: Trump himself.

Daring to contradict Trump, in public. This is a step beyond anything Mattis attempted. Through the first two years of the administration, background-sourced stories and reports based on “those in a position to know the Secretary’s thinking” laid out the increasing distance between Mattis’s view of American interests and what Trump was saying and doing.

But there is no precedent, from Mattis or anyone else, for what we have seen these past few weeks from Fauci at the podium. Is the coronavirus problem just going to go away (as Trump had claimed)? No, from Fauci. It is serious, and it is going to get worse. Is the testing system “perfect” (as Trump had claimed)? No, it is not working as it should. Is the U.S. once again the greatest of all nations in its response to the threat? No, it is behind in crucial aspects, and has much to learn from others.

Fauci is saying all these things politely and respectfully. As an experienced Washington operator he knows that there is no reason to begin an answer with, “The president is wrong.” You just skip to the next sentence, “The reality is...” But his meaning—“the president is wrong”—is unmistakable.

Anthony Fauci has earned the presumption-of-credibility for his comments. Donald Trump has earned the presumption that he is lying or confused. A year ago that standoff—the realities, versus Trump-world obeisance—worked out against James Mattis. Will the balance of forces be different for Fauci? As of this writing, no one can know.

2020 Time Capsule #1: Four Ways Trump’s Oval Office Address Failed

Tom Brenner / Reuters March 12, 2020

Four years ago, when Donald Trump was on his rise—from apparent-joke candidate, to long-shot, to front-runner, to nominee, and on to electoral winner—I wrote in this space a series of “Trump Time Capsules.”

They started with #1, back in May, 2016, when a Paris-bound airliner plunged into the Mediterranean and Trump immediately declared that the cause must have been terrorism. “What just happened?” he shouted to a rally crowd before wreckage had even been found. “A plane got blown out of the sky. And if anybody thinks it wasn’t blown out of the sky, you’re 100 percent wrong, folks, OK? You’re 100 percent wrong.” (Naturally, French authorities later determined that the crash arose from a mechanical problem.)

They ended with installment #152, just before the election, at the time when James Comey’s last-minute reopening of the Hillary Clinton email case was dominating headlines. In between there were installments about Paul Manafort’s fishy-looking role, the “grab ‘em by...” moment, Trump’s comments about theMexican judge,” and the shift of one-time Trump ridiculers like Lindsey Graham and Mitch McConnell into a Vichy Republican coalition.

Through all the posts, the idea was to record in real time what people knew about Donald Trump, about the country, and about the issues and stakes in the election, before any of us knew how the contest was going to turn out. As I wrote in introducing the very first installment four years ago:

People will wonder about America in our time. It can be engrossing to look back on dramatic, high-stakes periods in which people were not yet sure where things would lead, to see how they assessed the odds before knowing the outcome. The last few months of the 1968 presidential campaign: would it be Humphrey, Nixon, or conceivably even George Wallace? Or 1964: was there a chance that Goldwater might win? The impeachment countdown for Richard Nixon, in 1974? The Bush-Gore recount watch in 2000?

The Trump campaign this year will probably join that list. The odds are still against his becoming president, but no one can be sure what the next five-plus months will bring. Thus for time-capsule purposes, and not with the idea that this would change a single voter’s mind, I kick off what I intend as a regular feature. Its purpose is to catalogue some of the things Donald Trump says and does that no real president would do.

We are again in a not yet sure moment.

- About the upcoming election.

- About the unfolding-by-the-minute consequences of the coronavirus pandemic.

- About the recent collapse of the stock markets, and the less immediately visible, but ultimately far more damaging, economic and social effects of the sudden simultaneous collapse of the travel and lodging industries, of the live-events and sports and conference and entertainment businesses, of restaurants and bars, of taxis and trains, of stores in college towns, and of the impact of all of this on the people who unload baggage from airliners or clean rooms for hotel guests or work as security guards at museums or sell jerseys at baseball games. Such roles are not as resonant as “steelworkers” or “coal miners” in political or journalistic discourse, but these jobs collectively form a very large part of the economy, they’re very hard to do over the internet or “remotely,” and they’re being eliminated at a pace not seen in at least a dozen years, and probably since the 1930s.

We don’t know.

So behind our veil of ignorance about outcomes, this is another chronicle of what we knew and heard day by day, which I’ll intend to operate, as with the original series, through the upcoming election season.

Obviously I am skipping through what would be several decades’ worth of news in normal circumstances: impeachment, the Democratic primaries, the evisceration of legal norms, and so on down a long list.

Instead, for an arbitrary starting point, let’s begin with Trump’s Oval Office address last night on the virus threat. I have experience with this rhetorical form: I wrote a number of such addresses long ago when Jimmy Carter was president, and I have studied dozens of them in the intervening years.

This latest Trump speech was uniquely incompetent and inappropriate, and it’s worth noting why, as American voters decide whether to retain him in office.

One audience that Trump himself takes seriously—the world financial system—obviously took a dim view of his statement, as markets around the world headed sharply downward practically as soon as he began to talk. Of course, their view indirectly affects everyone else.

But from a political, rhetorical, and civic perspective, what was wrong with the speech? While watching it, I was assessing the speech by two standards: What it showed about Trump and his styles of thought, and what it showed about presidents and their roles in similar moments of stress.

As for Trump himself, his public vocabulary is strikingly limited on a deployable-word-count basis: “Many people are saying,” “it’s the greatest ever,” “we have tremendous people,” “very good things are happening,” “there has never been anything like it,” and of course “sir.”

Equally striking is the consistency, or narrowness, of the messages Trump delivers. A huge proportion of his entire discourse can be boiled down to two themes:
I am so great, and am doing a better job than anyone else ever has. (Biggest crowds, best economy, most loyal supporters, etc.)
Other people are such cheaters—and it is outrageous what they are trying to get away with. (They’re sending rapists; they’re behind on their NATO payments; they’re ripping us off in trade; etc.)

I won’t go through the whole classification of his discourse into these two categories, but nearly everything he said last night could be boiled down to one or the other of those themes.

I am so great and am doing the best possible job. (“This is the most aggressive and comprehensive effort to confront a foreign virus in modern history … Our team is the best anywhere in the world … Because of the economic policies that we have put into place over the last three years, we have the greatest economy anywhere in the world, by far.”)
Other people are mistreating us and are to blame. (Repeated references to the “foreign virus,” banning entry from most foreign nationals who have recently been in Europe, etc.)

Of course, every presidential address in every era has implicitly argued, I am doing a good job. Whether the challenge they’re dealing with is the Great Depression or the 9/11 attacks, Pearl Harbor or the Cuban Missile Crisis, when describing the challenge and their intended response, all presidents are effectively saying: You can feel better about this emergency, because I have a plan.

But until Trump, other presidents have applied the “show, don’t tell” policy when it comes to their own competence. They want to show they are acting the way the country would hope, so they don’t have to say it.

Trump says it himself. He quotes other people saying it about him. And he insists on hearing about his greatness from his retinue—most recently in the fawning statements made by his own vice president and secretary of health and human services, who preface their updates about the virus with North Korean-style compliments for the leader’s far-sighted action.

Five years into Trump’s presence as a foreground political figure, many listeners are inured to the two unvarying notes in his presentations: that what is good has come from him, and what is bad has come from someone else. But the prominence of these two notes in an Oval Office address was a reminder of how much we have learned to overlook. This is not how presidents have ever talked before.

And what about the speech, just as a speech? In my view it had three problems: how it was conceived; how it was written; and how it was delivered. (Plus, a bonus fourth problem I’ll get to at the end.)

How it was conceived: An Oval Office address is by definition about a big problem. (Otherwise, why is a president imposing on our time this way?) And its purpose is to answer several explicit questions: Why did this happen? How bad is it? What are we going to do about it? It also, always, must answer a deeper, broader, and more important question: Will we be OK?

Abraham Lincoln’s First and Second Inaugural Addresses can be thought of as precursors to Oval Office addresses of the broadcast era, and as the ideal form of such speeches, answering all these questions. (Why did this happen? “In your hands, my dissatisfied fellow-countrymen, and not in mine, is the momentous issue of civil war…. You have no oath registered in heaven to destroy the Government, while I shall have the most solemn one to ‘preserve, protect, and defend’ it.” Will we be OK? “With malice toward none; with charity for all; with firmness in the right, as God gives us to see the right, let us strive on to finish the work we are in..”)

Again, that’s the ideal form, but it is one that other presidents have had in mind as the model to work toward. These addresses have been about us, the American family, not about me, the leader. But Trump has only the me note in his vocal and emotional range, except for them as the enemies. He used the word us in the speech, but it was just a word. Audiences swallow a lot of guff from politicians, entertainers, and other public figures. But over time, the public can size up its most familiar performers and recognize which words ring true to them, and which they’re just reading from a script.

And this is entirely apart from the speech’s failure to address the major elephant-in-the-room questions reporters, governors, and public health officials had been asking. Starting with, Why are we so far behind with tests?

How it was written: It was written badly.

How it was delivered: Donald Trump is very effective and entertaining as an unscripted live performer, riffing and feeding off the energy of a crowd. Why does he keep going to big rallies? Partly because the crowds adore him there, and partly because this is what he’s genuinely good at. His rallies—part greatest-hits, part “you have to be there to believe it!” surprises—are great shows. That’s how he commanded so much free airtime on cable TV through 2015 and early 2016: it was the latest must-watch reality show.

But you can’t do that in every speech. And while Trump can still slip a little bit of his rally-meister style into an hour-long State of the Union address, it’s just impossible in 10 minutes behind the Resolute desk. And thus he seemed robotic, even narcotized. Presumably he had seen the text before he encountered it on the TelePrompter—in normal circumstances, a president would have done practice run-throughs many times before the cameras came on. But to judge from his delivery, he was trying to parse his way through sentences he had never seen before. If this seems harsh, compare George W. Bush’s Oval Office address after the 9/11 attacks, or Ronald Reagan’s in 1986 on defense spending and arms-limitation talks.

Bonus: Within an hour of Trump’s speech, other parts of the government were issuing “clarifications” about points he had misstated in his speech. No, not all travel from Europe was suspended. No, the European transit ban did not apply to cargo. No, Americans coming back didn’t need to be screened before reentry. And no, on other points.

Had the need for immediate fact-checking arisen, with any previous Oval Office address? Not that I am aware of. Whatever political party holds the White House and whatever policies these speeches seek to advance, such addresses usually reflect the greatest level of attention to detail that a president’s team can apply. Unfortunately, it probably did so in this case, too.

Twelve hours after Trump’s speech, Joe Biden gave an address that was “presidential,” by the standards listed above. It expressed concern for those suffering in medical, financial, or emotional ways. It laid out what was known and unknown about the challenge. Implicitly, it argued: We will be OK.

What the contrast between the speeches means, politically or in terms of public health, we don’t know at this moment. As of this installment, we know that Donald Trump faced a familiar test of presidential mettle, and badly failed.


Coronavirus: British Airways boss tells staff jobs will go


BBC•March 13, 2020

British Airways is among many airlines that have seen passenger numbers shrink and bookings collapse

British Airways is to ground flights 'like never before' and lay off staff in response to the coronavirus.
In a memo to staff titled "The Survival of British Airways", boss Alex Cruz warned that job cuts could be "short term, perhaps long term".

The airline industry was facing a "crisis of global proportions" that was worse than that caused by the SARS virus or 9/11.

Meanwhile, Ryanair told staff they may be forced to take leave from Monday.

An internal memo to Ryanair staff, seen by the BBC, said crew may be allocated to take unpaid leave due to cancelled flights and schedule changes.

BA boss Mr Cruz said: "We can no longer sustain our current level of employment and jobs would be lost - perhaps for a short term, perhaps longer term."

The airline is in talks with unions but gave no further details about the scale of the likely job losses in the video message transcript seen by the BBC.

The airline boss said that British Airways, which is owned by FTSE 100 company IAG, was suspending routes and parking planes in a way they had "never had to do before".

British Airways would "continue to do our best for customers and offer them as much flexibility as we can", Mr Cruz said in the video.

'Don't underestimate this'

Although Mr Cruz said the British flag carrier airline had a strong balance sheet and was financially resilient, he told staff "not to underestimate the seriousness of this for our company".

BA and other carriers' revenues have been hit by the coronavirus response as governments close borders, companies ban lucrative business travel, conferences and events are cancelled and demand for leisure travel slumps.
British Airways boss Alex Cruz said the effect of the coronavirus on the aviation industry will be worse than 9/11

IAG shares bounced on Friday after the global share market rout on Thursday. They closed up 4.8% to 350p per share, but were trading higher before news of the mass groundings broke.

The International Air Transport Association warned on Friday that global airline revenue losses would be "probably above" the figure of $113bn (£90bn) that it estimated a week ago, before the Trump administration's announcement of US travel curbs on passengers from much of continental Europe.

Earlier this month, IAG said flight suspensions to China and cancellations on Italian routes would affect how many passengers it carried this year.

Major US airlines are in talks with the government there over economic relief, as traveller demand plummets.

"The speed of the demand fall-off is unlike anything we've seen," Delta chief executive Ed Bastian said on Friday in a note to staff, which also said the firm would cut flights by 40% over the next few months, ground 300 aircraft and reduce spending by $2bn.

On Thursday, Norwegian Air said it was set to cancel 4,000 flights and temporarily lay off about half of its staff because of the coronavirus outbreak.

The increase in flight cancellations comes after the European Union said it would suspend until the end of June a "use it or lose it" law that requires airlines to use their allocated runway slots or risk losing the lucrative asset.

The law had led to so-called "ghost flights" where airlines were flying near-empty planes in order to keep their slots at airports.

The pilot's union Balpa on Friday called for greater government support for the aviation industry and complained that this week's Budget had not included a cut to Air Passenger Duty (APD) as the industry had lobbied for.

BALPA general secretary, Brian Strutton, said: "Removing APD is just one step that could help airlines make it through their financial woes in the wake of the coronavirus pandemic.

"The reality is, with such a loss in forward bookings for the summer - the time when airlines make all their profit - the airlines have had to look at ways to save money to keep the companies afloat".

---30---

On coronavirus, White House can’t get its stories straight
Christopher WilsonSenior Writer, Yahoo News•March 12, 2020

On Wednesday night, with markets tumbling and concern spreading about the coronavirus pandemic, President Trump delivered a primetime address from the White House to help calm nerves across the globe. On three central issues, however, Trump gave out misinformation that had to be corrected later, spreading panic everywhere from European airports to the financial markets. It was the latest in a series of confusing, misleading or inaccurate statements from administration officials on a matter of life and death to people in the U.S. and around the world.

Trump said the U.S. would “be suspending all travel from Europe to the United States for the next 30 days,” but within hours statements from the White House and Department of Homeland Security clarified that it did not apply to legal permanent residents, or immediate family members of U.S. citizens. The fear of being stranded in Europe resulted in a pre-dawn rush to airports in tourist meccas such as Barcelona by American travelers trying to book flights home.
President Trump addressing the nation about the coronavirus on Wednesday. (Doug Mills/New York Times via AP, Pool)

Trump also said in his address that the restrictions would apply to “the tremendous amount of trade and cargo” across the Atlantic, but an hour later on Twitter he clarified that “the restriction stops people not goods.” The president also said that insurance companies were waiving copayments for testing and treatment related to coronavirus, but a hospital and insurance lobbying firm told Politico there would still be costs for treatment.

It was not the first time inaccurate coronavirus information came from the White House. Last week, Vice President Mike Pence had to correct Trump about the rules on testing. In a White House briefing, Trump said “anybody that needs a test gets a test” for coronavirus, a misleading statement at the time and still not the case. The Centers for Disease Control and Prevention has badly lagged other countries in preparing a nationwide testing regime. Yet Trump repeated his claim on Thursday, stating, “Frankly, the testing has been going very smooth.”

Around the same time, across town on Capitol Hill, Anthony Fauci, who heads the National Institute of Allergy and Infectious Diseases and serves on the White House coronavirus task force, was telling Congress that testing was going anything but smoothly.

“The system is not really geared to what we need right now,” said Fauci. “This is a failing. It is a failing. Let’s admit it. The idea of anybody getting it easily the way people in other countries are doing it, we’re not set up for that.”

As of Thursday morning, the CDC was testing only 100 people per day, a small fraction of those seeking to be tested. Some additional tests were being administered by state public-health agencies and private laboratories, but still far below the rate of testing in other countries.

Trump has downplayed the virus since its earliest days. “We have it totally under control,” he said in January, adding, “It’s one person coming in from China. We have it under control. It’s going to be just fine.”

On Feb. 24, Trump tweeted, “The Coronavirus is very much under control in the USA. We are in contact with everyone and all relevant countries. CDC & World Health have been working hard and very smart. Stock Market starting to look very good to me!”

The following day, White House National Economic Council Director Larry Kudlow said on CNBC, “We have contained this, I won’t say airtight but pretty close to airtight.”

On Feb. 26, Trump said at a coronavirus briefing, “When you have 15 people, and the 15 within a couple of days is going to be down to close to zero, that’s a pretty good job we’ve done.”

As of Thursday the United States recorded 1,300 cases, with 38 deaths.
Trump cannot lead America through the coronavirus crisis

Joel Mathis, The Week•March 12, 2020


President Trump's biggest failing may be that he can never not be himself.


On Wednesday, Trump addressed the nation from the Oval Office to discuss the COVID-19 crisis — announcing what actions the federal government will take, and ostensibly trying to reassure the American people that we are collectively up to meeting the terrible challenge before us.

We will see how the policies shake out. After the speech, it became clear Trump had repeatedly misspoken when announcing the details of his administration's plans to confront the new coronavirus: He overstated the extent of a travel ban from Europe, mistakenly said it included "trade and cargo," and wrongly said insurers were waiving co-payments for coronavirus treatments. But technicalities aside, it was clear from the start that the president is not up to the task of reassuring the nation he leads. He was puffy-faced and sniffly, raising new questions about his own exposure to the virus. And he fell back into all of his own worst, easily predictable habits: xenophobia, hyperbole, and problem dodging.

He pitted the United States against outsiders, referring to the "foreign virus" that "started in China" — as though the disease had any idea of or respect for national boundaries.

He boasted undeservedly. "The virus will not have a chance against us," Trump said, even as events outside the White House were quickly indicating otherwise: While cases continued to rise in the U.S., Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said the virus was 10 times more lethal than the seasonal flu.

Perhaps most dangerously, Trump refused to acknowledge the magnitude of the emergency. "This is not a financial crisis," the president told the nation. "This is just a temporary moment in time we will overcome as a nation and a world." It was an absurd bit of rhetorical nonsense, belied by his announcement of emergency measures to shutter travel, help workers, and assist businesses.

Within minutes of his speech, several developments unfolded: Dow futures immediately plunged. Tom Hanks announced that he and his wife, Rita Wilson, had contracted COVID-19. And the NBA announced it was suspending the remainder of this season after a member of the Utah Jazz tested positive for the disease.

Taken together, these developments indicate that America is in terrifyingly uncharted territory here — and that Trump, the reality show star whose most powerful TV moments were crafted during post-production edits, is simply incapable of performing like a leader in real life when the times demand it.

Even if you despise Trump and his politics, you had to hope against hope that on Wednesday night he would finally summon up something bigger and greater than himself. He did not.

So what now? This president will be in office at least until January. Our national leadership isn't going to get any better soon enough to matter. Responsible Americans will do the following:

Hunker down. At this point, there may not be much choice. Schools are shutting down, sporting events are closed to the public, and workers are being sent home. (The lucky ones who aren't already being laid off, that is.) Every expert in the world — not including the folks at Fox News or on Rush Limbaugh's show — says that "social distancing" will be the most effective way to slow the spread of the virus. This is not a time to try to prove that you're macho, or to be confident that youth will save you. Stock up on groceries, if you haven't already, and stay home if you can.

Help your community. Plenty of folks are going to lose paychecks or suddenly find their grocery bills painfully inflated because kids are staying home instead of eating lunch at school. Clinics that help the poor are probably going to find themselves overwhelmed by new business. Find the organizations in your hometown that best serve the poor and needy, and make a donation. It would be nice to hope that the federal government would swoop in with all the necessary resources, but don't depend on that. Help your neighbors.

Contact Congress. The Senate on Wednesday blocked a bill that would require employers to provide paid sick leave to workers during the crisis. The feds at the same time announced that they're tightening food stamp requirements at the end of the month even though the need for food assistance is probably about to rise. Trump isn't the only official with a say in how the country gets through this emergency. Your senators and representative in Congress do too. Make your voice heard, now, on what you think your community needs from the federal government. Do it repeatedly and do it loudly. Then call your state elected officials and do the same.

The president is not up to the task before us. If Americans are lucky, though, we won't have to rely on Trump to lead us through the emergency. He made clear on Wednesday that it is time we turn to each other.


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Why There Aren't Enough Coronavirus Tests in the U.S.


Courtney Linder, Popular Mechanics•March 12, 2020
Photo credit: Kena Betancur - Getty Images

From Popular Mechanics

Above: A researcher works in a lab that is developing testing for the COVID-19 coronavirus at Hackensack Meridian Health Center for Discovery and Innovation on February 28, 2020 in Nutley, New Jersey. (Photo by Kena Betancur/Getty Images)


Although prior COVID-19 test kits had already been created, the U.S. Centers for Disease Control and Prevention (CDC) insisted on developing its own.

That led to time-consuming setbacks that have created a country-wide shortage of tests, leaving some sick people turned away.

In response, academic hospitals like the Cleveland Clinic have been developing supplemental tests to make them more widely available as the number of novel Coronavirus cases continues to rise in the U.S.

There's a massive shortage of COVID-19 (Coronavirus) test kits in the U.S., as cases continue to skyrocket in places like Seattle and New York City. This is largely due to the failure of the Centers for Disease Control and Prevention (CDC) to distribute the tests in a timely fashion.

But it didn't have to be this way. Back in January and February—when cases of the deadly disease began aggressively circulating outside of China—diagnostics already existed in places like Wuhan, where the pandemic began. Those tests followed World Health Organization (WHO) test guidelines, which the U.S. decided to eschew.

Instead, the CDC created its own in-depth diagnostics that could identify not only COVID-19, but a host of SARS-like coronaviruses. Then, disaster struck: When the CDC sent tests to labs during the first week of February, those labs discovered that while the kits did detect COVID-19, they also produced false positives when checking for other viruses. As the CDC went back to the drawing board to develop yet more tests, precious time ticked away.

"I think that we should have had testing more widely available about a month earlier," Dr. Carl Fichtenbaum, professor of clinical medicine at the University of Cincinnati's School of Medicine, tells Popular Mechanics. "That would have been more appropriate so that we could have identified people earlier on and used some of the mitigating strategies that we’re using now."

As the spread of Coronavirus continues to escalate in the U.S., private institutions like academic research hospitals are scrambling in a mad dash to come up with more test kits. And there is hope: The Cleveland Clinic says it has developed a diagnostic test that can deliver results in just hours, as opposed to the time it takes the existing CDC tests, which can take days.

How Does the COVID-19 Test Work?

 
Photo credit: WPA Pool - Getty Images

Testing for COVID-19 comes in two primary forms: You'll either have your throat swabbed if you're in the U.S., or perhaps have your blood drawn if you're in another country, like China. The different approaches ultimately come down to how scientists have developed the lab tests.

In the U.S., the CDC's diagnostic tool relies on polymerase chain reaction testing (PCR), which detects genetic material found in the virus's DNA. Unlike in other methods, the virus doesn't have to be alive for its presence to be detected.

"We take parts of the virus and we [test] what’s called the conserved parts of the virus, parts that don’t change a lot," Dr. Fichtenbaum explains. "There are always mutations. We’re looking at the genetic code and we take a sequence of what we call primers, or things that will match up with that genetic code, and we put them through a series of steps where the primers will match the genetic code if [the virus] is present."

PCR testing is generally too advanced to be done at a hospital, and is more in the wheelhouse of clinical laboratory settings. There, researchers extract the sample's nucleic acid—one of the four bases found in DNA sequences—to study the virus genome. They can amplify portions of that genome through a special process called reverse transcription polymerase chain reaction. That way, scientists can compare the sample to SARS-CoV-2, the virus that causes the novel coronavirus.

SARS-CoV-2 has almost 30,000 nucleotides in total, which make up its DNA. The University of Washington School of Medicine's PCR test hones in on about 100 of those that are known to be unique to the virus.

The researchers are looking for two genes in particular, and if they find both, the test is considered positive. If they only find one, the test is inconclusive. However, the CDC notes, "it is possible the virus will not be detected" in the early stages of the viral infection.

In some cases, Dr. Fichtenbaum says, it's possible to quantify the number of copies of the viral gene present. It could be one, 10, or 10 million, he says, and the higher that amount is, the more contagious you may be, or the further along you may be in the illness.

Why Aren't There Enough Coronavirus Tests?

Photo credit: U.S. Centers for Disease Control and Prevention

As of press time, the CDC has directly examined some 3,791 specimens in Atlanta, according to data produced on Thursday afternoon, while public health laboratories across the country have tested another 7,288. Notably, some data after March 6 is still pending.

Regardless, with about 1,000 confirmed cases in the U.S., those figures suggest roughly one in 11 people tested have actually contracted the novel Coronavirus. Surely, if more tests were available, those numbers would be higher, Dr. Fichtenbaum says. Because of the CDC snafu and an initial muted reaction to the outbreak from President Trump's administration, we're about a month behind on the diagnostics front, he adds.

During a Congressional hearing on Wednesday, Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said the public health care system is failing to make tests available to people who may have contracted COVID-19.

"The idea of anybody getting [the test] easily the way people in other countries are doing it, we're not set up for that. Do I think we should be? Yes, but we're not," he said.

Updated to reflect #coronavirus testing capacity in hospital and clinical laboratories pic.twitter.com/WriCUMiyqS
— COVID-19 Test Capacity (@COVID2019tests) March 11, 2020

The silver lining: The CDC is now working in tandem with private labs to make more tests available. The concern then becomes how many tests these labs can actually perform each day. Experts estimate that most labs will have the capacity to complete about 100 tests per day, which just isn't good enough to contain COVID-19 at this point.

Who Is Actually Getting Tested?

Photo credit: China News Service - Getty Images

Just because your doctor may have ordered you a COVID-19 test, that doesn't mean you'll actually receive one.

According to CDC guidelines, there are three general classes of patients who seek the diagnostic test, and it's up to the discretion of the health care systems to administer them. With limited supply, those are tough decisions. The classes are:


Hospitalized patients who have signs and symptoms compatible with COVID-19 in order to inform decisions related to infection control.

Other symptomatic individuals such as, older adults (age ≥ 65 years) and individuals with chronic medical conditions and/or an immunocompromised state that may put them at higher risk for poor outcomes (e.g., diabetes, heart disease, receiving immunosuppressive medications, chronic lung disease, chronic kidney disease).

Any persons including healthcare personnel, who within 14 days of symptom onset had close contact with a suspect or laboratory-confirmedCOVID-19 patient, or who have a history of travel from affected geographic areas within 14 days of their symptom onset.

Testing can be quite restrictive, and people who aren't in a high risk category, or who have traveled to a country where there are cases of COVID-19—but had no known exposure to the virus–are turned away.

"Once we relax the standards for testing so that we can test on anyone we think appropriate, and it’s not as complicated, we'll be able to reduce the spread," Dr. Fichtenbaum says.

Right now in Ohio, where Dr. Fichtenbaum is based, doctors must fill out a four-page form and conduct in-depth tracing of a patient's movements before they can administer a test, he says. Not only is it time-consuming, but it may result in the patient not receiving a test at all—and could have contracted the virus.

New Test Kits Are on the Way
Photo credit: THOMAS KIENZLE - Getty Images

To expedite the availability of diagnostics, the U.S. Food and Drug Administration (FDA) announced in late February that academic hospital systems had the green light to develop their own test kits.

The move allows these institutions to rely on their own internal validation upfront, rather than wait on the time-consuming FDA approvals process before using the tests. While FDA approval is still ultimately required under this policy, once the hospitals themselves have determined the tests are accurate and safe, they can begin using them.

"We will continue to help to ensure sound science prior to clinical testing and follow-up with the critical independent review from the FDA, while quickly expanding testing capabilities in the U.S.," Dr. Stephen M. Hahn, FDA commissioner, said in a prepared statement on February 29.

Dr. Fictenbaum says this is the norm during pandemics. Typically, medical systems that don't have their own clinical laboratories lean on the CDC for diagnostic tests, while more robust institutions create their own.

Hospitals across the U.S. are making strides in this endeavor. In Washington, where the CDC's faulty tests stymied the progress of testing, potentially aiding the community spread seen there, the University of Washington Medical Center has developed a COVID-19 test based on WHO recommendations, unlike the CDC. The hospital system has the capacity to conduct about 1,000 tests per day, and is working to ramp that up to 4,000 or 5,000 daily tests.

The Cleveland Clinic's test, meanwhile, should only take about eight hours to turn around a positive or negative result and should be ready by the end of March.

In a statement provided Thursday to Popular Mechanics, the Cleveland Clinic says it will soon have the capabilities to conduct on-site testing. "We are in the process of validating our testing capabilities and will soon send out more information."

Moving forward, Dr. Fichtenbaum expects the FDA to soon approve what's known as multiplex testing, which will allow labs to run 96 tests at once, rather than work with one specimen at a time.

"They need to approve that at each lab and they’re slow," says Dr. Fichtenbaum. But he anticipates the FDA will give the all-clear in the next few days. Then, it's just a matter of manufacturing the tests, which should happen rapidly.

In the meantime, community spread continues, despite self-quarantine measures, countless canceled events, and sweeping work-from-home policies. The number of positive cases is probably significantly higher than the data shows, says Dr. Fichtenbaum, which only worsens the contagion.

"I think that COVID-19 is probably more prevalent in our communities than we think," he says.

CDC tested only 77 people this week; coronavirus testing slow around America

WASHINGTON — Despite insistent promises from the Trump administration, coronavirus testing in the United States appears to be proceeding with a marked lack of urgency. An examination of state and federal records by Yahoo News finds that American states are, on average, testing fewer than 100 people per day — while the Centers for Disease Control and Prevention had tested fewer than 100 people total in the first two days of this week.

Meanwhile, a single private lab is performing tests, according to a trade group representing such facilities. The administration has repeatedly said that private enterprise would play a critical role in making sure that all Americans who need a coronavirus test receive one.

U.S. officials on Tuesday were faced with an onslaught of questions from members of Congress, amid reports of South Korea’s drive-through coronavirus testing locations.

“This is not a problem we can test our way out of,” said Stephen Redd, MD, head of the CDC’s Office of Public Health Preparedness and Response, in testimony on Wednesday. It was an admission that, in a nation of 320 million, testing every person will be impossible.

Redd also revealed in his testimony that the total number of people tested for the coronavirus by the CDC was 1,784. That means that, as of Wednesday morning, the CDC had tested only 77 people for the coronavirus since Sunday. According to a CDC spokesman, the number that had been tested as of Sunday was 1,707.
A medical technologist tests a respiratory panel at Northwell Health Labs in Lake Success, N.Y., where the same test will be used on COVID-19. (Shannon Stapleton/Reuters)

Speaking at a different hearing on Wednesday, CDC Director Robert Redfield, MD, said public health labs — that is, labs run by individual states — were ready to “test up to 75,000 people,” presumably because they had received test kits from the CDC.

Redfield also said on Wednesday morning that 75 public labs were ready to perform tests across the United States. In fact, the number is even higher — 81, according to Michelle Forman, a spokesperson for the Association of Public Health Laboratories. Those labs each have the capacity to perform 100 tests per day.

So far, however, only 7,617 people have been tested in state laboratories, according to the COVID Tracking Project, a database that updates the test statistics from states and the federal government. (Some of those statistics don’t include negative tests, which means the number tested could be higher.) On Tuesday, the 50 states cumulatively had tested only 2,728 people, meaning an average of 55 people tested per state.

Administration officials have repeatedly said that private industry would step in and meet the deficit. But it was because of an administration directive that private laboratories could not prepare for a coronavirus surge until earlier this month. “We just haven’t been getting information about how to get those kits,” Mark Birenbaum of the National Independent Laboratory Association told Yahoo News last week.
CDC Director Robert Redfield at a House Oversight Committee hearing on Wednesday. (Andrew Harrer/Bloomberg via Getty Images)

As a result, Birenbaum said in a subsequent conversation, only a single private lab in the United States is performing coronavirus tests. He said he was aware of “one that will begin testing on March 16, and seven to 10 that are still setting up.” He later added that the total number of labs preparing to test for the coronavirus was actually 15.

More testing will inevitably reveal more coronavirus cases. The United States now has 1,300 cases, with 38 deaths. Trump admitted last Friday that he was hesitant to have coronavirus-infected passengers disembark the Grand Princess cruise ship on U.S. shores because, as he explained, “I like the numbers being where they are.”

The numbers where they are as of today are not especially troubling, but likely not because the coronavirus has failed to take hold. “Low case counts so far may reflect not an absence of the pathogen but a woeful lack of testing,” explained former Department of Homeland Security official Juliette Kayyem in an article for the Atlantic.

That could lull Americans into a false sense of security about the severity of the disease, and the disruptions that the disease could cause. “If Americans conclude that life will continue mostly as normal,” Kayyem writes, “they may be wrong.”